Hartselle, Stephanie Lynn

Hartselle, Stephanie Lynn is an individual health care provider with primary practice located at 593 Eddy St Main Bldg., Room 038, Providence RI 02903-4923. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Hartselle, Stephanie Lynn can be contacted via phone (401) 444-4779.

Contact Information

Primary practice address
593 Eddy St Main Bldg., Room 038 Providence RI 02903-4923
Phone: (401) 444-4779
Fax: (401) 444-7464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD13515 Rhode Island
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD13515 Rhode Island

Profile Details

NPI number 1134323041
LBN Legal business name Hartselle, Stephanie Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Apr 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134323041 NPPES
Rhode Island Other MD13515 MEDICAL LICENSE

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